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  Indian J Med Microbiol
 

Figure 1: (a) Bilateral upper eyelid imbrication is noted clinically. The lower eyelid margin and eyelashes are not visible throughout the horizontal length. An attempt to lift left upper eyelid does not reveal the lower eyelid/eyelashes. (b) On mechanically lifting the upper eyelid, the extent of overlap is distinguished by soggy lower eyelid pretarsal skin (row of arrows). (c) A spontaneous eyelid eversion is noticed secondary to orbicularis oculi spasm (the soggy lower eyelid pretarsal skin is masked due to muscle contraction)

Figure 1: (a) Bilateral upper eyelid imbrication is noted clinically. The lower eyelid margin and eyelashes are not visible throughout the horizontal length. An attempt to lift left upper eyelid does not reveal the lower eyelid/eyelashes. (b) On mechanically lifting the upper eyelid, the extent of overlap is distinguished by soggy lower eyelid pretarsal skin (row of arrows). (c) A spontaneous eyelid eversion is noticed secondary to orbicularis oculi spasm (the soggy lower eyelid pretarsal skin is masked due to muscle contraction)